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PA Health Policy Update for June 26

The following is an update of selected state health policy developments in Pennsylvania from June 22 – June 26 (Some of the language used below is taken directly from state documents). 

Budget Update

Tuesday’s budget deadline approaches and key negotiators and legislative leaders continue to discuss options to close an agreement. Part of those options may be utilizing the Rainy Day Fund if other proposed revenue options such as the taxation and regulation of adult -use cannabis and skill games are not agreed-to by the Governor, House, and Senate. Even parties reluctant to agree to utilizing the Rainy Day fund last year such as Senate Majority Leader Joe Pittman, acknowledge, “It’s going to be a difficult task to not have any conversation about the Rainy Day Fund.” Additionally this week, legislative efforts were underway to remove tax breaks for data centers in both the House and Senate. 

General Assembly

The House and Senate were in session from Monday to Thursday and provided the following actions:

  • Monday June 22nd
    • The House voted 200-2 to approve and send HB 377 to the Senate. This bill would prohibit the sale, manufacture, or delivery of tianeptine, often called “gas station heroin” in Pennsylvania.
    • The Senate advanced SB 1352, 45-5, over to the House which allows for two-year licensure for addiction treatment providers.
  • Tuesday, June 23rd
    • The House voted unanimously on HB 75 and HB 76, both of which addressed dual recognition for Physician Assistants by removing the requirement of PAs to maintain the same board licensure as their supervising physician.
    • The House passed HB 1127 by a margin of 136-66. This legislation authorizes the Commonwealth to join the Dentist and Dental Hygienist Compact.
    • The Senate unanimously supported SB 730, the PA Orders for Life Sustaining Treatment legislation which outlines orders during end-of-life decisions.
  • Wednesday, June 24th
    • The House unanimously voted to send HB 2162, legislation to streamline the wholesale drug manufacturing licensure process, to the Senate.
    • HB 2621, which would fund the Department of Health Pregnancy Risk Assessment Monitoring System (PRAMS), was voted favorably out of the House by a margin of 190-12.
    • The Senate moved SB 482 by a party-line vote over to the House. This legislation would increase education and awareness provisions for the LIFE Program.
    • The Senate unanimously advanced SB 1206, legislation to streamline the wholesale drug manufacturing licensure process, to the House.
    • The Senate Health & Human Services Committee advanced several bills; HB 69 unanimously, which is legislation formalizing unused pharmaceutical drug donation programs; SR 216, 8-5, requiring the Legislative Budget & Finance Committee conduct an audit of PA’s Medicaid program; HB 1117, unanimously, which shifts to recovery-focused language within the Department of Drug & Alcohol Programs operating statute.
    • The Senate Institutional Sustainability and Innovation Committee held a voting meeting to amend HB 1460, the mergers & acquisitions in healthcare bill by a 8-3 margin. The bill was sent to the full Senate by a margin of 9-2.
    • The House Insurance Committee held a voting meeting to amend HB 2226, legislation addressing co-pay accumulator policies, and HB 2652, legislation acknowledging out-of-pocket costs in cash pay or online prescription marketplace transactions by insurers. Both bills were amended in committee and advanced by a 14-12 vote. The Committee also reported out in a 14-12 vote HB 2653, which is legislation requiring insurers to accept any willing, qualified behavioral health provider into network and referred several healthcare-related bills to other committees.

The House and Senate return to session on Monday, June 29th as they work towards the June 30th Budget Deadline.

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Rep. Steve Malagari issued a co-sponsor memo for legislation requiring insurance coverage for infertility care.
  • Rep. Emily Kinkead released a co-sponsor memo for legislation allowing the Commonwealth to purchase generic naloxone.
  • Sen. Frank Farry circulated a co-sponsor memo for legislation to broaden EMS transportation options for patients with behavioral health crisis needs.
  • Sen. Tracy Pennycuick issued a co-sponsor memo for legislation to prevent fraudulent claims within PA’s insurance marketplace, Pennie ®.
  • Rep. Bridget Kosierowski introduced HB 2649, which would require access to fertility coverage for patients diagnosed with cancer.
  • Rep. Tarik Khan proposed HB 2648, legislation to prevent insurers from changing coverage terms or premiums during a contract year.
  • Rep. Arvind Venkat introduced HB 2673, legislation requiring insurance coverage of preventative services as recommended by several national health authorities.
  • Sen. Steve Santarsiero introduced SB 1399, legislation to require advanced emergency planning and preparation for nursing home facilities. 

Department of Aging

The Department released the PA Long Term Care Council’s meeting schedule for 2026. 

Department of Health

The Department issued a Health Alert Network release with guidance to medical providers in response to the ongoing measles outbreak in certain counties in PA. 

Department of Human Services

In an ever-changing healthcare landscape, stay plugged in to DHS updates for managing HR 1, new rules and regulations, among others. DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – covers DHS program updates, agency news, and how organizations and partners can help their communities.

The Department released its proposed methodology for the Nursing Facility Assessment Program payments for FY 2026-2027. Public comment on the proposed assessment methodology will be accepted for 30 days and can be filed to the Department of Human Services, Office of Long-Term Living, Bureau of Policy and Regulatory Management, Attention: Benjamin Spager, P.O. Box 8025, Harrisburg, PA 17105-8025 or at RA-PWOLTLNFPUBLICCOM@pa.gov.

DHS issued notice of proposed amendments to the Commonwealth’s State Plan to update payments and methodology for the Budget Adjustment Factor for nursing facilities. Interested persons are invited to submit written comments regarding the BAF formula during a 30-day public comment period to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Benjamin Spager, P.O. Box 8025, Harrisburg, PA 17105-8025 or at RA-PWOLTLNFPUBLICCOM@pa.gov.

The Department also issued proposed case-mix rates for payments to nonpublic and county-operated nursing facilities. Interested persons are invited to submit written comments regarding the proposed annual rates for FY 2026-2027 to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Benjamin Spager, P.O. Box 8025, Harrisburg, PA 17105-8025 or at RA-PWOLTLNFPUBLICCOM@pa.gov. Comments received within 30 days will be reviewed and considered.

DHS released Prior Authorization Guidelines for Upper Extremity Orthoses.

The Department also shared its May 2026 HealthChoices Enrollment Report.

Stakeholder Meetings

DHS is hosting a public hearing for public comment on the proposed LIHEAP state plan on July 2nd, both from 10am – Noon.

DOH’s Renal Disease Advisory Committee will hold their public meeting on July 17th.

The Department of Health’s Special Pharmaceutical Benefits Program Advisory Council will hold a public meeting on July 30th from 10am-Noon.

DOH’s HIV Community Prevention & Planning Committee will hold public meetings on August 19th from 9-12pm & August 20th from 9-2pm.

The Department of Health’s Infant Hearing Screening Advisory Committee will hold a public meeting on Thursday August 20th from 10am- Noon. 

Federal Update

Click here for a review of this week’s federal activities.

2026-06-26T20:10:52+00:00June 26th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid laws and regulations, Pennsylvania Medical Assistance, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for June 26
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PA Health Policy Update for June 19

The following is an update of selected state health policy developments in Pennsylvania from June 15 – June 18 (Some of the language used below is taken directly from state documents).

Budget Update

As budget negotiators continue discussions, a Supreme Court decision regarding the legality of skill games could give momentum to a potential new source of revenue. The taxation and regulation of skill games in Pennsylvania was a key piece of Governor Shapiro’s budget proposal and a court-imposed deadline could add urgency to finally resolve this outstanding issue with twelve days remaining until the budget deadline arrives.

General Assembly

The House and Senate were in session from Monday to Wednesday and provided the following actions:

  • Monday June 15th
  • The House voted 200-2 to approve and send HB 377to the Senate. This bill would prohibit the sale, manufacture, or delivery of tianeptine, often called “gas station heroin” in Pennsylvania.
  • Wednesday, June 17th
  • The House Aging & Older Adult Services Committee & Human Services Committee held a joint hearingon the “In Lieu of Services” pilot program.
  • The House Health Committeevoted 25-1 on HB 2379, legislation to expand Flu vaccine offering requirements from age 65 to age 50; 26-0 on HB 2614, legislation prohibiting DEHP in IV bags and tubing; and 25-1 on HB 2621, which would fund the Department of Health Pregnancy Risk Assessment Monitoring System (PRAMS); and HR 528, a resolution to require a study on PANS & PANDAS.
  • The House Health Committeealso met in a public hearing to hear testimony on HB 2309, legislation to regulate the sale of beverages containing Delta-9 THC.

The House will return to session from Monday June 22nd through the week but adjusted their scheduled voting session days, moving June 26th through 28th from voting session to non-voting session. The Senate is scheduled for voting session from Monday June 22nd through Friday June 26th.

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Catherine Wallen released a co-sponsor memo for legislation to hasten the reporting requirements of tick-borne diseases to the PA Department of Health.
  • Dave Argall issued a co-sponsor memoregulating the leasing of dental provider networks.
  • Christina Sappey introduced a co-sponsor memofor legislation requiring insurers to accept any willing, qualified behavioral health provider into network. This legislation is a Governor’s legislative priority.
  • Health Committee Chairs Dan Frankel, Kathy Rapp and Reps. Jessica Benham and Charity Krupa released a co-sponsor memofor legislation requiring pharmacies to submit drug price information to DHS to offer better understanding of actual pharmaceutical acquisition costs in the MA program.
  • Chairman Dan Frankel also issued a co-sponsor memofor legislation to require additional health information awareness and counseling for parents who opt their children out of required school vaccinations.
  • Arvind Venkat circulated a co-sponsor memofor legislation requiring insurance coverage of preventative services as recommended by several national health authorities.
  • Liz Hanbidge released a co-sponsor memofor legislation allowing broader usage and liability protections for utilization for expired naloxone.
  • Nate Davidson and Rep. Catherine Wallen introduced HB 2646, legislation to prohibit insurers from limiting access to drugs within the FDAs accelerated approval pathway.

Department of Human Services

In an ever-changing healthcare landscape, stay plugged in to DHS updates for managing HR 1, new rules and regulations, among others. DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – covers DHS program updates, agency news, and how organizations and partners can help their communities.

The Department issued July 2026 Remittance Advice Date information for providers.

Stakeholder Meetings

The Patient Safety Authority will hold its board meeting on June 23rd at 1pm.

DHS is hosting two public hearings to take public comment on the proposed LIHEAP state plan on June 25th and July 2nd, both from 10am – Noon.

DOH’s HIV Community Prevention & Planning Committee will hold public meetings on August 19th from 9-12pm & August 20th from 9-2pm.

The Department of Health’s Infant Hearing Screening Advisory Committee will hold a public meeting on Thursday August 20th from 10am- Noon.

Federal Update 

Click here for a review of this week’s federal activities.

2026-06-20T03:04:54+00:00June 19th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania proposed FY 2027 budget|Comments Off on PA Health Policy Update for June 19
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PA Health Policy Update for June 12

The following is an update of selected state health policy developments in Pennsylvania from June 8 –June 12 (Some of the language used below is taken directly from state documents). 

Budget Update

Budget season is underway in Harrisburg as the legislature advanced and positioned several budget-adjacent bills that are needed to pass along with a final budget bill. Recent reporting noted that negotiating parties have traded proposals and begun discussions. In addition to the encouraging revenue returns, the House passed a proposed 5% digital ad sales tax proposal 139-63 as another potential measure to help address the Commonwealth’s fiscal picture. 

General Assembly

The House and Senate were in session from Monday to Wednesday and provided the following actions:

  • Monday, June 8th
    • The Senate Appropriations Committee unanimously advanced both SB 866, which would set Medetomidine as a Schedule III Drug, and HB 1442, which places additional requirements on coroners to ensure epilepsy death reporting accuracy.
    • The House Aging & Older Adult Services Committee advanced HB 1611, a comprehensive update to the Older Adult Protective Services Act by a vote of 17-9.
    • The House passed HB 916, which updates childhood blood lead testing guidelines, by a vote of 157-44.
  • Tuesday, June 9th
    • The House Human Services Committee held an informational meeting on Complex Care Assistant Programs for home care services to hear potential benefits and concerns from both families and providers.
    • The Senate Health & Human Services Committee voted unanimously in favor of SB 1352, legislation providing for multi-year licensure for addiction treatment providers; SB 1373, expanding National Provider Identifier number requirements for Medicaid providers; and SB 730, legislation to codify orders for life-sustaining treatment for patients.
    • SB 866, which sets Medetomidine as a Schedule III Drug, was passed 47-2 by the Senate.
    • In a 7-4 vote, the Senate Aging & Youth Committee passed SB 482, which would increase education and awareness provisions for the LIFE Program.
    • The Senate Institutional Sustainability & Innovation Committee advanced 10-1 SB 792, to increase the Research & Development Tax Credit program, and SB 1206, streamlining wholesale pharmaceutical manufacturer licensure, unanimously.
    • The House passed HB 836, which would preserve the right to utilize IVF in PA, by a margin of 147-55.
  • Wednesday, June 10th
    • The Senate Consumer Protection & Professional Licensure Committee unanimously passed SB 1133, which would update membership of the Board of Pharmacy, and  SB 1334, which proposes additional regulations and oversight of medical imaging and radiation therapy, by a margin of 12-2.
    • The House Health Committee held a public hearing on HB 2270, which would require PA to utilize a single pharmaceutical benefit administrator model for the Medicaid program. DHS staff noted that the proposal would be unlikely to save Commonwealth dollars or provide a benefit to struggling independent pharmacies.

The House returns to session on Monday June 15th while the Senate will return on Monday, June 22nd.

For the upcoming week, we anticipate the following healthcare-related activity:

  • Wednesday, June 17th
    • The House Aging & Older Adult Services Committee & Human Services Committee will hold a joint hearing on the “In Lieu of Services” pilot program.
    • The House Health Committee will meet to consider HB 2379, legislation to expand Flu vaccine offering requirements from age 65 to age 50; HB 2621, which would fund the Department of Health Pregnancy Risk Assessment Monitoring System (PRAMS); and HR 528, a resolution to require a study on PANS & PANDAS.

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Rep. Emily Kinkead circulated a co-sponsor memo to introduce legislation proposed by Gov. Shapiro to count out-of-pocket pharmaceutical costs towards patient deductible and out-of-pocket maximum.
  • Rep. Brenda Pugh issued a co-sponsor memo for legislation requiring PA’s professional licensure boards to establish profession-specific regulations governing the use of AI by licensed professionals.
  • Rep. Kyle Mullins released a co-sponsor memo for legislation requiring insurers to cover all FDA-approved Alzheimer’s treatments.
  • Sen. Michele Brooks introduced SB 1373, which would broaden the requirement for providers to have an individualized National Provider Identifier (NPI) number.
  • Rep. Kinkead also introduced HB 2611, which would create criminal liability for insurance company executives in the case of serious injuries or deaths caused by adverse benefit determinations.
  • Rep. Bridget Kosierowski introduced HB 2613, which would require insurance coverage for wheelchair maintenance and repairs and HB 2614, legislation to prohibit DEHP in IV bags and medical equipment tubing.
  • Rep. Melissa Shusterman introduced HB 2621, which would fund the Department of Health Pregnancy Risk Assessment Monitoring System (PRAMS). 

Independent Fiscal Office

The IFO issued two releases this week. The first release provides an update to Medical Assistance (MA) enrollment and funding in Pennsylvania. As of April 2026, 2.95 million residents were enrolled in MA programs, at a projected fiscal year (FY) 2025-26 cost of $53.9 billion in state and federal funds. MA enrollment declined from 3.05 million (April 2025) to 2.95 million residents (April 2026, -3.3%), while the Cost Per Enrollee ($000) increased from $16.2 to $18.3 (13%).

The second release provides a budget and economic update for the Commonwealth.  Slide 13 presents an updated financial statement, which includes a projected FY2026-27 structural deficit of -$5.56 billion, despite current fiscal year general fund year-over-year revenue growth of $2.29 billion (5.4%) through May 2026. 

Department of Human Services

In an ever-changing healthcare landscape, stay plugged in to DHS updates for managing HR 1, new rules and regulations, among others. DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – covers DHS program updates, agency news, and how organizations and partners can help their communities.

In their most recent Substack update, DHS highlighted the beginning of the 2026 SUN Bucks Program, a federal program offering eligible children and families with a SNAP-like food benefit for the summer months when school is not in session. SUN Bucks provides a one-time payment of $40 per summer month ($120 total) per eligible child. Interested households can use the SUN Bucks Eligibility Navigator to see if they are eligible and can apply using the online application or application forms on the SUN Bucks webpage.

In response to federal requirements, the Department issued notice of a Temporary Moratorium on Enrollment of New Hospices.

DHS issued the following notices in the PA Bulletin:

The Department issued revisions to the Participating Drug Company list for the Medicaid Drug Rebate Program.

Stakeholder Meetings

The Patient Safety Authority will hold its board meeting on June 23rd at 1pm.

DHS’ Office of Mental Health and Substance Abuse Services (OMHSAS) will be host one remaining listening session on the 55 Pa. Code Chapter 5250 Crisis Licensing Regulations to provide a high-level summary of changes being made to the final form package based on the comments received and to gather provider perspectives on those specific areas. Those interested can register below.

DHS is hosting two public hearings to take public comment on the proposed LIHEAP state plan on June 25th and July 2nd, both from 10am – Noon.

DOH’s HIV Community Prevention & Planning Committee will hold public meetings on August 19th from 9-12pm & August 20th from 9-2pm.

The Department of Health’s Infant Hearing Screening Advisory Committee will hold a public meeting on Thursday August 20th from 10am- Noon. 

Federal Update

Click here for a review of this week’s federal activities.

2026-06-12T21:21:36+00:00June 12th, 2026|Federal Medicaid issues, Medicaid supplemental payments, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations|Comments Off on PA Health Policy Update for June 12
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PA Health Policy Update for June 5

The following is an update of selected state health policy developments in Pennsylvania from June 1 –June 5 (Some of the language used below is taken directly from state documents). 

General Assembly

The House and Senate returned to session on Monday June 1st and provided the following actions:

  • Monday, June 1st
    • The House sent HB 2254, which allows limited medical cannabis access in healthcare facilities, to the Senate by a vote of 174-27.
  • Tuesday, June 2nd
    • The House amended HB 69, legislation creating a more formalized framework around unused cancer drug donation programs, by broadening out the bill to all pharmaceutical drugs.
    • The House Health Committee approved HB 2162 by 25-1 with an amendment, legislation to streamline wholesale pharmaceutical state licensure; HB 2341 by 20-6 with an amendment, which would create a Health Care Facility Threat Assessment Grant Program. These bills have advanced to the full House for consideration.
    • The Senate Agriculture & Rural Affairs Committee unanimously advanced SB 866, which would set Medetomidine as a Schedule III Drug.
  • Wednesday, June 3rd
    • The House unanimously passed HB 69, unused prescription drug repository legislation, sending the bill to the Senate for consideration.

For the upcoming week, we anticipate the following activity:

  • Monday, June 8th
    • The Senate Appropriations Committee will consider SB 866, which would set Medetomidine as a Schedule III Drug, and HB 1442, which places additional requirements on coroners to ensure epilepsy death reporting accuracy.
    • The House Aging & Older Adult Services Committee will meet to vote on HB 1611, a comprehensive update to the Older Adult Protective Services Act.
  • Tuesday, June 9th
    • The House Human Services Committee will hold an informational meeting on Complex Care Assistant Programs.
  • Wednesday, June 10th
    • The Senate Consumer Protection & Professional Licensure Committee will meet to consider SB 1133, which would update membership of the Board of Pharmacy, and  SB 1334, which proposes additional regulations and oversight of medical imaging and radiation therapy.
    • The House Health Committee will hold a public hearing on HB 2270, which would require PA to utilize a single pharmaceutical benefit administrator model for the Medicaid program.

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Sen. Lynda Culver circulated a cosponsor memo for legislation that would require employment history reviews for positions requiring direct care of and contact with older adults.
  • Rep. Bridget Kosierowski introduced HB 2583, which would increase reimbursement rates for durable medical equipment.
  • Rep. Keith Harris introduced a package of three bills aimed at increasing prostate cancer prevention, education, and awareness efforts.
  • Rep. Mary Jo Daley introduced HB 2605, which would codify an explicit right to access and use fertility treatments in PA.
  • Rep. Justin Fleming released HR 551, commissioning a behavioral health crisis study
  • Senator Michele Brooks formally introduced SB 1352, legislation providing for multi-year licensure for addiction treatment providers. 

Department of Health

The Department released updated guidance for clinicians for Hantavirus disease surveillance.

The Department issued interpretive guidance to clarify its expectations on the administration of anesthesia in hospitals and ambulatory surgical facilities. This interpretive guidance is responsive to requests from the regulated community for clarity on what constitutes anesthesia and which health care providers can administer anesthesia 

Department of Human Services

In an ever-changing healthcare landscape, stay plugged in to DHS updates for managing HR 1, new rules and regulations, among others. DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – covers DHS program updates, agency news, and how organizations and partners can help their communities.

As part of these updates, the Department launched a new website to highlight the changes in Medicaid. This will be updated as new information is provided by CMS.

Independent Fiscal Office

Commonwealth revenues are beating projections by close to a billion dollars for the fiscal year. The Independent Fiscal Office (IFO) released revenue projections for fiscal year (FY) 2025-26. May General Fund collections of $3.31 billion were $14 million (+0.4%) more than projected, while fiscal-year-to-date (FYTD) collections of $44.97 billion are $846 million (+1.9%) above estimate. (The comparable figures for the administration’s estimate released November 2025 are -$65 million (-1.9%) and $928 million (+2.1%)). Compared to the prior year, May collections were $73 million (+2.3%) higher and FYTD collections are $2.30 billion (+5.4%) higher.

Stakeholder Meetings

The Patient Safety Authority will hold its board meeting on June 23rd at 1pm.

DHS’ Office of Mental Health and Substance Abuse Services (OMHSAS) will be hosting two Listening Sessions on the 55 Pa. Code Chapter 5250 Crisis Licensing Regulations. Sessions are intended to provide a high-level summary of changes being made to the final form package based on the comments received and to gather provider perspectives on those specific areas. Those interested can register below.

The Department of Health’s Preventative Health and Health Services Block Grant Advisory Committee will hold a public meeting on June 10th from 9am to 10am to receive testimony on the block grant application.

The Department of Health’s Newborn Screening and Follow Up Technical Advisory Board will hold a public meeting on June 11th from 10am to Noon.

DHS is hosting two public hearings to take public comment on the proposed LIHEAP state plan on June 25th and July 2nd, both from 10am – Noon. 

Federal Update

Click here for a review of this week’s federal activities.

2026-06-06T01:56:22+00:00June 5th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for June 5
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PA Health Policy Update for May 28

The following is an update of selected state health policy developments in Pennsylvania from May 25 –May 29 (Some of the language used below is taken directly from state documents). 

General Assembly

The House and Senate return to session on Monday June 1st and we anticipate the following activity:

  • Tuesday, June 2nd
    • The House Children & Youth Committee will vote on House Bill 432, legislation creating Maternal Care Access Zones, and House Bill 1569, legislation to establish a Maternal Health Monitoring Pilot Program.
    • The House Health Committee will vote on HB 1365, which would create a medication-induced movement disorder education program; HB 2162, legislation to streamline wholesale pharmaceutical state licensure; HB 2341, which would create a Health Care Facility Threat Assessment Grant Program; along with several health-related resolutions.

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Rep. Dan Frankel has issued a co-sponsor memo for legislation to increase oversight and review requirements for nursing home ownership and operator changes.
  • Rep. Mike Schlossberg has released a co-sponsor memo for legislation to update the Mental Health Procedures Act.
  • Rep. Pat Gallagher circulated a co-sponsor memo for legislation to update the Medical Practice Act to add updates and clarifications for the role of Physician Assistants.
  • Rep. Arvind Venkat introduced HB 2543, which would establish timelines and protocols for Medicaid pending applications in long-term care settings.

Department of Drug & Alcohol Programs

The Department announced the opening of an application period for HRSA’s STAR LRP student loan repayment program for eligible substance-use disorder treatment professionals. The application window closes on June 23rd at 7:30pm. 

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

The Department released their April 2026 HealthChoices Enrollment report and shared its updated Medicaid Managed Care Directory.

The Department issued a Medicaid Assistance Bulletin for Random Moment Time Study Updates for School-Based ACCESS Program Providers.

Stakeholder Meetings

The Patient Safety Authority will hold its board meeting on June 23rd at 1pm.

The Department of Health’s Newborn Screening and Follow Up Technical Advisory Board will hold a public meeting on June 11th from 10am to Noon.

The Department of Health’s Preventative Health and Health Services Block Grant Advisory Committee will hold a public meeting on June 10th from 9am to 10am to receive testimony on the block grant application. 

Federal Update

Click here for a review of this week’s federal activities.

2026-05-29T20:05:54+00:00May 28th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations|Comments Off on PA Health Policy Update for May 28
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PA Health Policy Update for April 24

The following is an update of selected state health policy developments in Pennsylvania from April 20 –April 24 (Some of the language used below is taken directly from state documents). 

Rural Health Transformation Program

Today, DHS announced the qualifications for providers to receive Rapid Response Stabilization payments of at least $10,000 and up to $1 million to be used for the purchase of supplies, equipment, renovations, or structural improvements in alignment with the goals outlined in the commonwealth’s RHTP application to the federal government. Providers may submit the eligibility certification and required documentation beginning on May 1 to show they meet all of the following criteria:

  • Licensed as a hospital, health care provider, or rural health facility;
  • Currently in operation in Pennsylvania at the time of application and at the time funding is received;
  • Located in one of the RHTP-eligible rural counties or in a HRSA-defined rural census tract of a county of the second class A or third class.

This program payment is limited to one payment per qualified entity. Under the first tranche of this program request, program payments are limited to two program payments per region. There is a planned second tranche of funds to be made available after June 1, 2026 and that second tranche will not be limited by region.

DHS will authorize program payments in the order eligibility certifications are received, as evidenced by the date and time the email containing the full eligibility certification and receipt of all required documents. Providers should begin preparing the required documentation and budget narrative now for email submission on May 1. Submissions can be made via email to: RA-HHRRLHLTHTRNSPLAN@pa.gov. 

General Assembly

The Senate held session earlier week addressing the following issues:

  • Monday
    • The Senate passed Sen. Rosemary Brown’s SB 998, by a measure of 43-4, which would provide an expansion of resources for accredited nursing programs in PA through the Nurse Education Capacity Expansion Grant program.
  • Tuesday
    • The Senate Local Government Committee advanced HB 1442, which would require that all autopsies include a review to whether a seizure or epilepsy was part of the cause of death.
  • Wednesday

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Sen. Amanda Cappelletti circulated a co-sponsor memo for legislation requiring the inclusion of Gaucher’s Disease on Pennsylvania’s Newborn Screening Panel and a co-sponsor memo for legislation that would allow access to PrEP and PEP medications without prescriptions.
  • Sen. Elder Vogel issued a co-sponsor memo for a resolution recognizing IgA Nephropathy Awareness Day in Pennsylvania.
  • Senator Michele Brooks released a co-sponsor memo for a resolution to designate May 2026 as Lyme Disease & Tick-Borne Illness Awareness Month in PA.
  • Rep. Frank Burns introduced HB 2431 which would require PBMs to accept Medicaid prescriptions from any pharmacy and pharmacist in good standing with the State Board of Pharmacy and US DEA.
  • Rep. Maureen Madden introduced HB 2435, providing for dementia training for EMS personnel. This legislation will receive a public hearing in the House Aging & Older Adult Services Committee on Monday April 27th.  

The House is scheduled to return to session this upcoming week. In addition to the hearing on HB 2435, the following activity is anticipated:

  • On Monday, the House Human Services Committee will meet to consider House Resolution 134, a resolution directing a comprehensive review of home & community-based services waiver programs and areas of improvement that can be identified.
  • On Tuesday, the House Health Committee will meet to consider HB 916, legislation to update the Child Blood Lead Testing Act.

Both the House and Senate will return to session on May 4th. 

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities. Recently highlighted in DHS’ Human Services Helpers Substack was a toolkit for Long-Term Care Services & Caregivers to help all parties better understand and navigate the enrollment process.

DHS is currently hiring Regional Policy Specialists and an Executive Policy Specialist to help implement PA’s Rural Health Transformation Plan.

The Department issued its March 2026 HealthChoices Enrollment Report.

DHS announced its schedule for onboarding provider types to begin using the Qualitrac electronic prior authorization portal for MA fee-for-service claims. For each wave of the rollout, providers will receive a kickoff communication with instructions on how to register for the portal, then complete the registration and attend an initial training session focused on how to use the portal for their specific review type. There is no deadline at this time for mandatory use of Qualitrac for these authorizations, but DHS strongly encourages providers to use the portal once they are ready.

Department of Health

The Department released a Health Advisory Network alert for an increase in emergency department visits for tick bites and urging providers to heighten suspicion for tickborne diseases.

DOH, the Patient Safety Authority, and other stakeholders released updated guidance to acute care facilities regarding the definition of serious events, incidents, or infrastructure failures. 

Stakeholder Meetings

The Patient Safety Authority will hold a public meeting on April 28th at 1pm.

DOH’s Special Pharmaceutical Benefits Program will hold a public teleconference on April 30th from 10am to Noon.

The Department of Health’s Spinal Cord Research Advisory Committee Meeting will hold a public meeting on May 1st from 9am – 10am and the Brain Injury Advisory Board Meeting will also hold their public meeting on May 1st from 10am – 3pm.

DOH’s Statewide HIV Planning Group will hold a public meeting on May 20th from 9am to Noon.

Federal Update

Click here for a review of this week’s federal activities.

2026-04-24T20:24:41+00:00April 24th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for April 24
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PA Health Policy Update for April 17

The following is an update of selected state health policy developments in Pennsylvania from April 13 –April 17 (Some of the language used below is taken directly from state documents). 

General Assembly

The House held session earlier week addressing the following issues:

  • Monday
    • The House Judiciary Committee voted out HB 1104, proposing to cap fees for obtaining medical records, by a margin of 14-12.
    • The House Human Services Committee held an informational hearing on the impacts of HR 1 on the SNAP Program in PA.
  • Tuesday
    • The House Health Committee held a voting meeting on HB 836, preserving access to fertility treatment, which passed out of committee with amendment by a measure of 17-9 and HB 2254, which would allow for medical marijuana usage in licensed healthcare facilities passed 22-3; along with several resolutions. HB 916, providing for further Blood Lead Testing was to be considered but was passed over.
    • The House Aging & Older Adult Services Committee held an informational hearing on the LIFE Program. The hearing highlighted the current state of the program in PA and nationally, aired enrollment challenges experienced by providers, and vetted potential legislative and policy solutions that could help address barriers to care.
    • The House Democratic Policy Committee held a public hearing on Black Maternal Health and Hospital Accountability.

The Senate is scheduled to return to session this upcoming week. The House will return to session on April 27th.

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Rep. Bridget Kosierowski circulated a cosponsor memo for legislation to ensure commercial and government insurance plan coverage for orthotics and prosthetics and another cosponsor memo requiring coverage of fertility preservation for cancer patients.
  • A cosponsor memo released by Rep. Maureen Madden providing for dementia training for EMS personnel.
  • Rep. Melissa Cerrato issued a cosponsor memo for legislation to require DHS to submit a waiver request to CMS to allow legally responsible family members to perform paid care for a care-dependent relative.
  • Rep. Maureen Madden introduced HB 2378, which would expand flu vaccine availability for patients age 50 and older.
  • HB 2379, sponsored by Rep. Marla Brown, would require continuing education in Trauma-Informed Maternity Care.
  • Rep. Rob Kauffman introduced HB 2399, which would place additional identification requirements for public assistance benefits.
  • Sen. Tracy Pennycuick introduced SB 1285, to establish the PA BioBonds Innovation Fund to help spur further bio-tech and life-sciences investment. 

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

Recently highlighted in DHS’ Human Services Helpers Substack was a toolkit for Long-Term Care Services & Caregivers to help all parties better understand and navigate the enrollment process.

DHS issued its May 2026 Remittance Advice Dates.

PA Healthcare Cost Containment Council

The Pennsylvania Health Care Cost Containment Council (PHC4) announced the release of new data detailing ownership of hospitals and ambulatory surgery centers (ASCs) across Pennsylvania, along with updated access to care information on facility locations and services for hospitals, ASCs, and nursing homes.  

Stakeholder Meetings

The Patient Safety Authority will hold a public meeting on April 28th at 1pm.

DOH’s Special Pharmaceutical Benefits Program will hold a public teleconference on April 30th from 10am to Noon.

The Department of Health’s Spinal Cord Research Advisory Committee Meeting will hold a public meeting on May 1st from 9am – 10am and the Brain Injury Advisory Board Meeting will also hold their public meeting on May 1st from 10am – 3pm.

Federal Update

Click here for a review of this week’s federal activities.

2026-04-17T19:33:18+00:00April 17th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for April 17
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PA Health Policy Update for April 10

The following is an update of selected state health policy developments in Pennsylvania from April 6 –April 10 (Some of the language used below is taken directly from state documents). 

General Assembly

The House returns to session next week where we anticipate the following actions:

  • Monday
    • The House Judiciary Committee is scheduled to vote on several bills, one of which is HB 1104 which proposed to cap fees for obtaining medical records.
    • The House Human Services Committee will hold a hearing on the impacts of HR 1 on the SNAP Program in PA.
  • Tuesday
    • The House Health Committee will hold a hearing on HB 836, preserving access to fertility treatment; HB 916, providing for further Blood Lead Testing; and HB 2254, which would allow for medical marijuana usage in licensed healthcare facilities; along with several resolutions.
    • The House Aging & Older Adult Services Committee will hold an informational hearing on the LIFE Program.
    • The House Democratic Policy Committee will hold a public hearing on Black Maternal Health and Hospital Accountability.

The Senate is scheduled to return to session the following week.

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Rep. Danilo Burgos introduced House Bill 2368 to create the Healthcare Human Trafficking Screening and Intervention Act to provider greater structure and increased requirements for human trafficking intervention protocols.
  • House Bill 2364, introduced by Rep. Nikki Rivera would expand the scope of physical therapy services to include dry needling.
  • Sen. Tracy Pennycuick released a co-sponsor memo for legislation to require drug & alcohol recovery residences to obtain licensure within three years.
  • A co-sponsor memo was released by Sen. Maria Collett for legislation to create a Commission on Comprehensive Health Coverage. 

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

DHS issued a Medical Assistance Bulletin for Prior Authorization Guidelines for Pediatric Adaptive Seating Equipment.

The Department shared remittance advice alerts for Fee-for-Service Relative Weight Adjustments.

Governor’s Advisory Commission on Women

The Governor’s Advisory Commission on Women has released a “State of the Woman” Survey to assess the experiences of women living in the Commonwealth. The survey is open through May 30th.

State Board of Pharmacy

The State Board of Pharmacy issued notice of final deemed approved regulations on Injectable Medications. 

Independent Fiscal Office

The Independent Fiscal Office provided a state budget and economic update to the Education Policy and Leadership Center.  The report highlights state population decline and migration, limited job growth with the largest driver being the health care sector, and state general fund revenue and spending trends.  The presentation can be found here. 

Stakeholder Meetings

The Department of Health’s Renal Advisory Committee will hold their quarterly public meeting on April 17th from 10am-Noon.

The Patient Safety Authority will hold a public meeting on April 28th at 1pm.

DOH’s Special Pharmaceutical Benefits Program will hold a public teleconference on April 30th from 10am to Noon.

Federal Update

Click here for a review of this week’s federal activities.

2026-04-10T21:18:43+00:00April 10th, 2026|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid laws and regulations|Comments Off on PA Health Policy Update for April 10
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PA Health Policy Update for February 20

The following is an update of selected state health policy developments in Pennsylvania from February 16 – February 20 (Some of the language used below is taken directly from state documents). 

General Assembly

Senate and House Appropriations Committee Hearings relevant to healthcare and human services are underway this upcoming week with key hearings are as follows:

  • Insurance Department: House – Feb. 24th at 10am
  • Department of Health & Department of Drug & Alcohol Programs: House – Feb. 24th at 1pm
  • Department of Human Services: Senate – Feb. 25th at 10am; House – Mar. 4th at 10am
  • Department of Aging: House – Mar. 10th at 1pm
  • Governor’s Budget Office: Senate – Mar. 4th at 1pm; House – Mar. 12th at 10am

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Rep. Frank Burns released a co-sponsor memo for legislation requiring prescriptions for MA recipients to be filled by any pharmacist in good federal & state standing.
  • Rep. Bridget Kosierowski and Rep. Natalie Mihalek issued a co-sponsor memo for legislation allowing the coverage of medically-tailored meals prescribed for Medicaid recipients.
  • A co-sponsor memo circulated by Senators Lynda Schlegel Culver and Nick Pisciottano

would provide for legislation to regulate and license medical imaging and radiation therapy.

  • Sen. Doug Mastriano has issued a co-sponsor memo for legislation to enhance EMS within PA by elevating the EMS Director position in DOH to a Deputy Secretary role, along with additional regulatory flexibilities and educational requirement changes.
  • PBM reforms highlighted in a co-sponsor memo released by Senators Wayne Langerholc, Judy Ward, and Pat Stefano would institute Attorney General reviews to the PBM contracting and adjudication process, allowing PBMs to appear in PA courts for legal cause of action, among other reforms expanding on the PBM reforms of Act 77 of 2024.
  • Rep. Emily Kinkead introduced House Bill 2226 which would ensure that all patient out of pocket costs like co-pays and other assistance are credited towards out-of-pocket cost limits of insurance plans.

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

DHS released 2026 Income Limits for presumptive eligibility of pregnant women in Medicaid.

The Department issued its March 2026 remittance advice as well as remittance advice for date of death recovery.

Independent Regulatory Review Commission

The Commission will review proposed updates to the State Board of Pharmacy’s Final Immunization Regulation Updates at a public meeting on March 19th at 10am. 

Stakeholder Meetings

The Department of Health’s Newborn Screening and Follow Up Technical Advisory Board will meet on March 3rd from 10am to Noon.

DOH’s Medical marijuana Advisory Board released their schedule of board meetings for 2026 with the first upcoming on March 26th from 10:30am to 12:30pm.

The Department of Health’s WIC Advisory Board will hold their meeting rescheduled from January 26th on March 5th from 1pm to 2pm. 

Federal Update

Click here for a review of this week’s federal activities.

2026-02-20T21:51:13+00:00February 20th, 2026|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations|Comments Off on PA Health Policy Update for February 20
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PA Health Policy Update for February 6

The following is an update of selected state health policy developments in Pennsylvania from February 2 – February 6 (Some of the language used below is taken directly from state documents). 

Budget Update

Governor Shapiro issued his fourth budget address before a joint session of the House and Senate this past Tuesday, sharing his priorities for the 2026-2027 Fiscal Year Budget. In total, the FY 2026-2027 budget proposes spending $53.26 billion, $2.7 billion more than the current fiscal year. The proposed budget, which exceeds anticipated revenues by $4.6 billion, represents a $2.72 billion, or a 5.4 percent, increase over the prior fiscal year. The budget is balanced primarily by utilizing $4.6 billion in Rainy Day Fund reserves, leaving approximately $3 billion in the fund’s balance. This budget does not include a broad-based tax increase but it once again proposes legalization and taxation of skill games and recreational adult use cannabis and raising the minimum wage to $15 per hour. 

General Assembly

The House and Senate both were in session this week but will break from session until March 23rd for the House and March 16th for the Senate. Both the House and Senate Appropriations Committees will begin their hearings to examine the Governor’s Budget Proposal. Key hearings are as follows:

  • Insurance Department: House – Feb. 24th at 10am
  • Department of Health & Department of Drug & Alcohol Programs: House – Feb. 24th at 1pm
  • Department of Human Services: Senate – Feb. 25th at 10am; House – Mar. 4th at 10am
  • Department of Aging: House – Mar. 10th at 1pm
  • Governor’s Budget Office: Senate – Mar. 4th at 1pm; House – Mar. 12th at 10am

Dates for all five special elections to fill vacancies in the House have now been scheduled. House District 22 in Lehigh County & House District 42 in Allegheny County are scheduled for February 24th. Elections for House District 79 in Blair County and House District 193 in Adams County will be held on March 17th. Lastly, the special election for the vacancy in York County’s House District 196 will be on May 19th to coincide with this year’s primary election.

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Rep. Bridget Kosierowski and Rep. Jim Struzzi released a co-sponsor memo for legislation directing the Legislative Budget & Finance Committee (LBFC) to study the financial and administrative impacts of compliance with hospital regulations, and recommend action on any duplicative or outdated regulations currently in effect.
  • Rep. Joe Webster issued a co-sponsor memo soliciting support for legislation banning facility fees for outpatient services by healthcare providers and creating “site-neutral” payment caps.
  • In support of Gov. Shapiro’s Innovate PA 2.0 budget priority, Rep. Tim Briggs circulated a co-sponsor memo in the House for legislation to implement the program and Chairman Vince Hughes released a corresponding version in the Senate.
  • Sen. Michele Brooks has also released a co-sponsor memo directing the Legislative Budget & Finance Committee (LBFC) to study the burden of regulations on healthcare facilities and providers in PA.
  • Sen. Tracy Pennycuick and Sen. Frank Farry issued a co-sponsor memo for legislation to establish the Biobonds Innovation Fund, modeled after the federal “Loans for Biomedical Research Act.”
  • Reps. Emily Kinkead, Andrew Kuzma, Tarik Khan, Liz Hanbidge, and Darisha Parker have issued a co-sponsor memo for legislation prohibiting co-pay accumulator policies.

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

DHS issued Medical Assistance prior authorization guidance for the following:

DHS’ Office of Mental Health & Substance Abuse Services (OMHSAS) issued an MA Fee Schedule Bulletin announcing the addition of Psychiatric Rehabilitation Services to the MA Fee Schedule.

Independent Regulatory Review Commission

Independent Regulatory Review Commission issued comments to the DHS’ proposed Mental Health Procedures Regulations. 

Stakeholder Meetings

The Patient Safety Authority will hold a public board meeting on Tues. Feb. 10th at 1pm. 

Federal Update

Click here for a review of this week’s federal activities.

2026-02-10T21:33:52+00:00February 6th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania proposed FY 2027 budget|Comments Off on PA Health Policy Update for February 6
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  • 2020 Safety-Net Association of Pennsylvania

Home / About Us / Advocacy / Why Join? / SNAPShots / Contact Us

  • P: (717) 234-6970

  • 2020 Safety-Net Association of Pennsylvania

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